| NPI | 1174822050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 006772) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ME XL3750) |
| 101YM0800X Counselor, Mental Health (Licence: NY p87041) | |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2023-12-26 |