| NPI | 1972016467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 011825-01) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: NY 2708534) |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2022-02-17 |