| NPI | 1871644153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 003135) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: NY 003135) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2018-06-06 |