| NPI | 1326206996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 005994) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 001477) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2014-08-27 |