| NPI | 1508076068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NY 002926) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 002926) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2019-10-15 |