| NPI | 1396006466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 008032) |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2020-03-03 |