| NPI | 1730648684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0016846) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 100089-01) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2024-02-20 |