| NPI | 1467094888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 011087) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 099450-02) |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2021-06-01 |