| NPI | 1336445626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 18 005243) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 18-0P79029) |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2012-08-30 |