| NPI | 1972000719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0019412) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P09947) |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2024-05-21 |