| NPI | 1649726894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 008799-1) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P03432) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2018-06-22 |