| NPI | 1558826024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 010173) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P07241) |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2020-02-21 |