| NPI | 1891188710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY P14218) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC007881) |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2019-01-04 |