| NPI | 1598250953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NY 013352) |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2023-05-24 |