| NPI | 1306344940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 093315-01) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 101746-1) |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2022-06-08 |