| NPI | 1376057158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 010973-01) |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2022-06-13 |