| NPI | 1396035366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C4233) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 004765) |
| 101YP2500X Counselor, Professional (Licence: NY 004765) | |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2024-01-09 |