| NPI | 1548628803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 008170-1) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P00309) |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2018-08-22 |