| NPI | 1821873399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY P127007) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: NY 1665159221) |
| Enumeration Date | 2023-08-31 |
| Last Update Date | 2024-03-13 |