NPI | 1336690635 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 008801-1) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P00899) |
Enumeration Date | 2016-10-21 |
Last Update Date | 2022-10-04 |