| NPI | 1366139552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NY 015211) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NY 18-P119545-01) |
| Enumeration Date | 2023-04-19 |
| Last Update Date | 2024-10-01 |