NPI | 1477895845 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 009605) |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health | |
103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
Enumeration Date | 2013-03-22 |
Last Update Date | 2020-10-16 |