| NPI | 1437288800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KS 2418) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 000806-1) |
| Enumeration Date | 2007-03-03 |
| Last Update Date | 2020-07-13 |