| 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 |