| NPI | 1962923110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 010925) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P06670) |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2023-02-13 |