| NPI | 1841841640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 006253) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 12798) |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2022-01-28 |