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 |