| NPI | 1639430648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 002606-1) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 1584917) |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2012-06-06 |