| NPI | 1568516078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NY 000012) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 10280) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2015-01-23 |