| NPI | 1649473604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 001790) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 000210) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2008-02-19 |