| NPI | 1932841814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 015032) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P114634) |
| Enumeration Date | 2022-04-11 |
| Last Update Date | 2024-08-29 |