| NPI | 1952553646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 004144-1) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 004144) |
| 101YM0800X Counselor, Mental Health (Licence: NC 14175) | |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2024-02-08 |