| NPI | 1225433790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 18006419) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CT 2635) |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2022-09-28 |