| NPI | 1396332862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 013063) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P107024) |
| Enumeration Date | 2020-12-30 |
| Last Update Date | 2023-03-06 |