| NPI | 1689070054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH12689) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 005768) |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2014-11-13 |