| NPI | 1528163920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: RI ISW01776) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY PR0168991) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2008-03-25 |