NPI | 1740708510 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 010410) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P07724) |
Enumeration Date | 2017-08-31 |
Last Update Date | 2023-01-29 |