| NPI | 1831646223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| 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 | 2024-07-02 |