| NPI | 1225329428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 000007630) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 18004328) |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2016-09-12 |