| NPI | 1912254517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 005218) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: NY 930247151) |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2015-08-07 |