| NPI | 1740782689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NY 013244-01) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 013244-01) |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2023-10-31 |