| NPI | 1952678633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 0013299) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 004711-1) |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2024-04-01 |