| NPI | 1154977924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 010054) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 26226) |
| 101YM0800X Counselor, Mental Health (Licence: NY 18001434-00) | |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2020-12-02 |