| NPI | 1386482008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH24162) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 014918) |
| Enumeration Date | 2024-07-17 |
| Last Update Date | 2024-11-06 |