| NPI | 1396067211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 003113-1) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 12630) |
| 101YS0200X Counselor, School | |
| Enumeration Date | 2010-02-19 |
| Last Update Date | 2010-02-19 |