| NPI | 1265154793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NY 013337) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NY 110762-01) |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2023-04-12 |