| NPI | 1780016345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY NYSLMHC0023851) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA malmhc1007) |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2013-08-06 |