| NPI | 1558099499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 012272-01) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 17895) |
| Enumeration Date | 2022-08-09 |
| Last Update Date | 2023-02-24 |