| NPI | 1871961946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NY 008680-1) |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2023-08-10 |