| NPI | 1235623067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 011193-01) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY p09342) |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2021-04-22 |