| NPI | 1861827800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 008310) |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2019-08-21 |