| NPI | 1841569449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CT 002825) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 005788) |
| Enumeration Date | 2011-12-28 |
| Last Update Date | 2022-07-21 |