| NPI | 1629678867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY P108254) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 8089) |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2021-01-12 |