| NPI | 1275968943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY R0587341) |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital (Licence: NY r0587341) |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2013-09-12 |