| NPI | 1851819494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 46.004982) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 007060) |
| Enumeration Date | 2017-09-04 |
| Last Update Date | 2021-08-09 |