| NPI | 1871647610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 000156-1) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701003567) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2013-09-24 |