| NPI | 1902947633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 2408300) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CT 001760) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2024-01-10 |