| NPI | 1144877432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 011600) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 102056-01) |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2022-10-12 |