| NPI | 1780172767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA APC006389) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P05297) |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2021-01-11 |