| NPI | 1356864227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NY 010474-01) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NY P12689) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2020-05-21 |