| NPI | 1346847118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 612315051) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 612315051) |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2020-10-05 |