| NPI | 1548231079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 003234) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC1241) |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2023-06-13 |