NPI | 1215060496 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 0019701) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 3437) |
Enumeration Date | 2007-03-14 |
Last Update Date | 2007-07-08 |