| NPI | 1629492756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 007153) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P92035) |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2022-08-19 |