| NPI | 1841828175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 014145) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 014145) |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2023-12-03 |