| NPI | 1932668233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 0093941) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 009394-1) |
| Enumeration Date | 2019-03-16 |
| Last Update Date | 2022-10-25 |