| NPI | 1700119468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH10944) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 0044541) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2013-02-18 |