| NPI | 1982210324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 012892-01) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P105929) |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2023-06-23 |