| NPI | 1215083522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NY 067320-0) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NY 000484) |
| Enumeration Date | 2007-01-27 |
| Last Update Date | 2008-10-07 |