| NPI | 1588162606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CT 004150) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 009965) |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2023-05-19 |