| NPI | 1689381030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NY 012084) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: PA PC012743) |
| Enumeration Date | 2022-11-03 |
| Last Update Date | 2022-11-03 |