| NPI | 1912598798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 013570) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P106485) |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2023-05-23 |