| NPI | 1013018233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 003007-1) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NY 726131961) |
| 174400000X Specialist (Licence: NY 264345081) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2018-02-09 |