| NPI | 1407966187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NY R0442211) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R0442211) |
| 106H00000X Marriage & Family Therapist (Licence: NY R0442211) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |