| NPI | 1902041759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225C00000X Rehabilitation Counselor (Licence: NY 00108513) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 004778) |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2011-10-19 |