| NPI | 1508346271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0016150) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 010201) |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2023-01-06 |