| NPI | 1528724077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 013459) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 111829) |
| Enumeration Date | 2021-11-09 |
| Last Update Date | 2023-05-09 |