| NPI | 1912335456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 008059-1) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P91211) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2013-10-18 |
| Last Update Date | 2022-11-30 |