| NPI | 1124501648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 32804) |
| 101YM0800X Counselor, Mental Health (Licence: NY 013929-01) | |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2023-11-06 |