| NPI | 1588994313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MS cc03425) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 004272-1) |
| Enumeration Date | 2009-12-29 |
| Last Update Date | 2024-04-12 |