| NPI | 1346454741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NY 000437) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 000437) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2019-12-09 |