| NPI | 1750764569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 007681-1) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P97230) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2017-05-05 |