| NPI | 1437633195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 011728) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P12756) |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2022-11-21 |