| NPI | 1174981534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 008109) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P00464) |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2023-06-12 |