| NPI | 1588938799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NY 006464) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NY P82848) |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2023-11-27 |