| NPI | 1841844164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 011113) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 101487-01) |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2023-01-30 |