| NPI | 1194909242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 013731) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: MA s63735861) |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2023-09-21 |