| NPI | 1447274469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 000042) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 7640) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2012-10-11 |