| NPI | 1447861885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 390200000X) |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2021-06-14 |