| NPI | 1447406053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 18-P124562-01) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 012162-1) |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2023-09-11 |