| NPI | 1194243345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NY 003112) |
| Additional Taxonomies | 103TS0200X Psychologist School |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2017-09-07 |