NPI | 1689753196 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 000992) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 000992-1) |
Enumeration Date | 2006-11-03 |
Last Update Date | 2024-12-06 |