| NPI | 1275851909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NY 00016290) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 002018) |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2010-05-05 |