| NPI | 1427776053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 008110) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: RI MHC01737) |
| Enumeration Date | 2022-08-19 |
| Last Update Date | 2024-09-17 |