| NPI | 1235681305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 09138-01) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P03335) |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2022-11-08 |