| NPI | 1417287053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 001376-1) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P64467) |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2010-10-05 |