| NPI | 1538362686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 00004901) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101Y00000X Counselor (Licence: NY 00004901) | |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2023-11-20 |