| NPI | 1396106522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH12632) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 006436) |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2016-03-16 |