| NPI | 1821398090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 22200) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 173873071) |
| 101YM0800X Counselor, Mental Health (Licence: NY 409837102) | |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2010-10-22 |