| NPI | 1639772411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH23213) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 010803) |
| Enumeration Date | 2020-11-16 |
| Last Update Date | 2024-06-13 |