NPI | 1487272936 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY P105914) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NY P105914) |
Enumeration Date | 2020-07-10 |
Last Update Date | 2020-07-10 |