| NPI | 1255799151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 008010-1) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM CCMH0199861) |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2020-07-28 |