| NPI | 1922581834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 010517) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY P13394) |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2020-06-17 |