| NPI | 1740700327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 009407-1) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P06305) |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2022-07-21 |