| NPI | 1821123068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 004431-1) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH 6756) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2024-09-12 |