NPI | 1619095650 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: NY 000395) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 000395) |
101YP2500X Counselor, Professional (Licence: NY 000395) | |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 000395) | |
Enumeration Date | 2007-03-27 |
Last Update Date | 2025-09-11 |