| NPI | 1659836229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 2807) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 008160-1) |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2021-10-11 |