| NPI | 1669614616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH9808) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 000354) |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2009-12-04 |