| NPI | 1164641361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 003380) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 3005361) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2008-06-12 |