| NPI | 1255671897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH19551) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 005010) |
| Enumeration Date | 2013-02-19 |
| Last Update Date | 2024-07-03 |