| NPI | 1992193049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 007176) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P91250) |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2020-06-15 |