| NPI | 1649837097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 011296) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 021096) |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2021-05-02 |