| NPI | 1669827945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 009331) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC12201) |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2022-03-17 |