| NPI | 1508351081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 010873) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: none) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2023-05-19 |