| NPI | 1417323700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 06221) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 02661) |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2022-07-21 |