| NPI | 1568889368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NY 012681) |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2023-07-25 |