| NPI | 1538354154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 000238) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 000238-1) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2017-10-10 |