| NPI | 1770720245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 001579) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 004001) |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2012-03-09 |