| NPI | 1235712571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 013504-01) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 11102001) |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2023-09-03 |