| NPI | 1336615160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 010802) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P09373) |
| Enumeration Date | 2018-10-19 |
| Last Update Date | 2022-05-20 |