NPI | 1578097648 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY P05697) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 002262) |
Enumeration Date | 2017-04-17 |
Last Update Date | 2022-06-27 |