| NPI | 1770717696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 17548) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 004381) |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2023-11-25 |