| NPI | 1497031686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 005277) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P74772) |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2014-01-29 |