| NPI | 1962752014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 004544) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 13409) |
| 101YM0800X Counselor, Mental Health (Licence: MA 9479) | |
| 101YS0200X Counselor, School (Licence: NY 822222) | |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2022-04-14 |