| NPI | 1417604653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 014157) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P114273) |
| Enumeration Date | 2022-03-08 |
| Last Update Date | 2023-12-12 |