| NPI | 1386059012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 001734-1) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: NY 50656) |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2014-11-06 |