| NPI | 1114155538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 003873) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NY 204288) |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2009-06-24 |