| NPI | 1821170663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY p54287) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 004399) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2010-11-16 |