| NPI | 1225356587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 005231-1) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 25683) |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2014-02-28 |