| NPI | 1811532591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 012939) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P103527) |
| 101YM0800X Counselor, Mental Health (Licence: IL 180.015121) | |
| Enumeration Date | 2019-11-17 |
| Last Update Date | 2023-03-26 |