| NPI | 1346961729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NY 119246) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY P116401) |
| Enumeration Date | 2022-09-06 |
| Last Update Date | 2023-03-14 |