| NPI | 1508372335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 008345) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH20753) |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2023-09-14 |