| NPI | 1477389021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CT 46.005882) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 011583) |
| Enumeration Date | 2024-09-10 |
| Last Update Date | 2024-09-10 |