| NPI | 1366877284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 005956-1) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 2314) |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2023-04-12 |