| NPI | 1790260297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NY 095469) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 107871) |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2023-05-23 |