| NPI | 1457746174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NY 002057) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 19-210) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2022-06-21 |