| NPI | 1891334538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 00895) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: NY 043b) |
| 101YS0200X Counselor, School (Licence: NY 2517) | |
| Enumeration Date | 2019-12-28 |
| Last Update Date | 2019-12-28 |