| NPI | 1710467139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 492594-1) |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2018-08-15 |