| NPI | 1730363995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY P77426) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NY 2184292) |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2010-10-05 |