| NPI | 1366196859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 012386-01) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 012386) |
| Enumeration Date | 2022-02-04 |
| Last Update Date | 2023-06-30 |