| NPI | 1831676519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 011524) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P11889) |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2021-11-13 |