| NPI | 1275950552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 008646-01) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P92438) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2024-03-21 |