| NPI | 1487299095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 011457) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VT 068.0134468) |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2022-06-29 |