| NPI | 1558868778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 003418) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 008600) |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2018-04-13 |