| NPI | 1437756897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 103028-01) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 011280) |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2021-04-24 |