| NPI | 1568114866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 013020) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 9364) |
| Enumeration Date | 2022-01-19 |
| Last Update Date | 2024-01-10 |