| NPI | 1144728601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NY 012280) |
| Additional Taxonomies | 174H00000X Health Educator |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2024-02-22 |