| NPI | 1871871632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 000225-1) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH5140) |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2011-07-28 |