| NPI | 1457954240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 012383) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY P107682) |
| Enumeration Date | 2020-11-16 |
| Last Update Date | 2024-02-06 |