| NPI | 1467181693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 012586) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 36748) |
| 101YM0800X Counselor, Mental Health (Licence: NY 088294) | |
| Enumeration Date | 2022-06-04 |
| Last Update Date | 2022-07-05 |