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 |