| NPI | 1154870467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 092718-01) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 097254-1) |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2022-02-09 |