| NPI | 1447970272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 009344) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 0011667) |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2022-08-31 |