| NPI | 1467821124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH13980) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 006817) |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2018-07-16 |