| NPI | 1811596158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 011631) |
| 101YM0800X Counselor, Mental Health (Licence: FL 21639) | |
| 101YM0800X Counselor, Mental Health (Licence: PA 016687) | |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2024-07-11 |