| NPI | 1265670814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 008254) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 8380) |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2023-06-14 |