| NPI | 1366850422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 006997) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 066997) |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2022-02-08 |