| NPI | 1184045973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CT 004697) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 006544) |
| 101YM0800X Counselor, Mental Health (Licence: NY P90861) | |
| Enumeration Date | 2013-12-20 |
| Last Update Date | 2021-08-26 |