| 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 |