| NPI | 1669759379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 005834) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P82094) |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2013-11-22 |