| NPI | 1255403614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NY 002277) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: NY 14848) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2007-07-08 |