| NPI | 1619593688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 5575) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 010398) |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2023-09-11 |