| NPI | 1619304920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 007018) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 18893) |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2024-05-26 |