| NPI | 1558971614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 012436) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P106200) |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2022-05-19 |