| NPI | 1134798457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 014251) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 110145-01) |
| 101YM0800X Counselor, Mental Health (Licence: NY 014251-01) | |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2024-07-01 |