| NPI | 1639468861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 968) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 004733) |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2024-04-23 |