| NPI | 1982217956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 013702) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P111932) |
| 101YS0200X Counselor, School (Licence: NY 2970164) | |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2023-07-23 |