| NPI | 1316404023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NY 093659) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 091668) |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2022-08-08 |