| NPI | 1720401276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 008234) |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2017-10-04 |