| NPI | 1548788375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 012094) |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2023-01-09 |