| NPI | 1144458522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 003735) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NY 16859) |
| 174400000X Specialist (Licence: IL 22075) | |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2009-06-24 |