| NPI | 1558843573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 012640-01) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ME XL5138) |
| 101YP2500X Counselor, Professional (Licence: ME CC6230) | |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2023-12-22 |