| NPI | 1619624889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 012604-01) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P114407) |
| Enumeration Date | 2022-03-07 |
| Last Update Date | 2023-04-11 |