| NPI | 1275082760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY intern) |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2018-03-29 |