| NPI | 1972138188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 011411) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 100569) |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2021-06-14 |