| NPI | 1891005799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NY 003593) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 003593) |
| 101YM0800X Counselor, Mental Health (Licence: NY 003593) | |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2010-10-14 |