| NPI | 1740615053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 006552) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY P90512) |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2022-08-11 |