| NPI | 1104035245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 002854-1) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 000596-1) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |