| NPI | 1003338161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 002747) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NY 14006) |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2017-07-20 |