| NPI | 1659852390 |
|---|---|
| Former Name | DYLAN SARAH ROSENBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC10515) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LG8858) |
| 101YP2500X Counselor, Professional (Licence: FL MH18345) | |
| 101YP2500X Counselor, Professional (Licence: DC PRC200001334) | |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2023-02-23 |