| NPI | 1558636829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 003857-1) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH 10290) |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2012-03-19 |