| NPI | 1780722702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 5722) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 000904-1) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2007-07-08 |