| NPI | 1992079487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: DE PC-0000652) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NY 0046621) |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2024-04-24 |