| NPI | 1821485871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NY 003474) |
| 106H00000X Marriage & Family Therapist (Licence: NY 000112) | |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2016-08-20 |