| NPI | 1245643071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 007879-01) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 6871) |
| 101YM0800X Counselor, Mental Health (Licence: NY P92878) | |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2024-03-20 |