| NPI | 1831551845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NY 096210-1) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NY 096210-1) |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2016-03-28 |