| NPI | 1720511124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY P04938) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 010028-01) |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2024-12-10 |