| NPI | 1740067339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NY 015132) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NY P109073) |
| Enumeration Date | 2023-09-08 |
| Last Update Date | 2024-09-10 |