| NPI | 1659813459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 007512) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH 14240) |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2016-11-09 |