| NPI | 1821485251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 007988) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P96789) |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2017-06-13 |