| NPI | 1750636833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 082196-1) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 082196-1) |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2012-07-16 |