| NPI | 1902449168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NY 013268-01) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NY 100108-02) |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2023-03-20 |