NPI | 1831646223 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 014799) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
174400000X Specialist (Licence: NY 1051554161) | |
Enumeration Date | 2016-09-02 |
Last Update Date | 2024-09-09 |