| NPI | 1063770998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NY 000482-1) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: NY CONTROL # 96572001) |
| Enumeration Date | 2012-04-28 |
| Last Update Date | 2024-02-12 |