| NPI | 1457500274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NY 001183-1) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 000737-1) |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2008-09-17 |