| NPI | 1316244759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 12521) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 000814-1) |
| Enumeration Date | 2011-02-22 |
| Last Update Date | 2012-10-10 |