| NPI | 1689247579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 013344) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 109486) |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2023-05-19 |