| NPI | 1538330428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NY 000147) |
| Additional Taxonomies | 103TS0200X Psychologist School |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2008-04-14 |