| NPI | 1881971661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 004651-01) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 004651-1) |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2023-03-10 |