| NPI | 1487163986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 004951) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 009516-1) |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2022-07-21 |