| NPI | 1720793821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NY P125105) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2023-10-13 |