| NPI | 1356856009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY P08831) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 0) |
| 101YM0800X Counselor, Mental Health (Licence: 0) | |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2019-02-18 |