| NPI | 1154850816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NY 091265) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 102630) |
| 101Y00000X Counselor | |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2022-07-21 |