| NPI | 1720436199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 008842) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P01278) |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2018-12-22 |