| NPI | 1013305010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 094285) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 72P95758) |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2015-10-14 |