| NPI | 1447876347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY P14097) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P14079) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2021-03-29 |