| NPI | 1679811806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 007248-1) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 13181) |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2016-08-10 |