| NPI | 1174985923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH16617) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 012181) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2024-05-30 |