| NPI | 1619244233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: DE PC-0000572) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NY 004602-1) |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2011-11-28 |