| NPI | 1972007243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 010006) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P09577) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2021-10-01 |