| NPI | 1366879611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 001459-1) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NY 355031) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2017-03-31 |