| NPI | 1184822405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 18006707) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2007-07-09 |
| Last Update Date | 2016-12-21 |