| NPI | 1588043558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH18733) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 008280) |
| Enumeration Date | 2015-05-24 |
| Last Update Date | 2023-08-10 |