| NPI | 1245463355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 000467-1) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY R038411-1) |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2023-03-14 |