| NPI | 1336630425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 013927) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 10002551) |
| 101YM0800X Counselor, Mental Health (Licence: AR A1909027) | |
| 101YM0800X Counselor, Mental Health (Licence: AR P2101130) | |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2024-09-21 |