| NPI | 1023442787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH14161) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 005653-1) |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2016-06-07 |