| NPI | 1205171956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 079897-1) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NY 079897-1) |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2012-12-06 |