| NPI | 1366955619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 3170) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 8047) |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2019-01-09 |