| NPI | 1487327524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NY 115907) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY P110812) |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2022-03-29 |