| NPI | 1821546227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 090572) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 126126) |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2024-01-18 |