| NPI | 1659971661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 010763-01) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 010763) |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2024-10-14 |