| NPI | 1720566623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 010139) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VT 0680136382) |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2025-01-26 |