| NPI | 1669663050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 000296-1) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 000340-1) |
| 231H00000X Audiologist (Licence: NY 000080-1) | |
| 235Z00000X Speech-Language Pathologist, (Licence: NY 000225-1) | |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2007-08-09 |