| NPI | 1275853764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NY 003607-1) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: NY 003607-1) |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2018-11-02 |