| NPI | 1861726671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 005575) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ME CC3972) |
| Enumeration Date | 2009-09-25 |
| Last Update Date | 2013-07-18 |