| NPI | 1669708152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: DC PRC14296) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NY 003872) |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2013-04-04 |