| NPI | 1366553018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 001925-1) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 002510) |
| 101YM0800X Counselor, Mental Health (Licence: NY 001925-02) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2024-02-01 |