| NPI | 1700538212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 013115) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 106006-01) |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2023-07-27 |