| NPI | 1578990958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 006671) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P90401) |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2016-09-26 |