| NPI | 1720116445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 002149-1) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2009-01-14 |