NPI | 1922200583 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 005408) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2007-06-04 |
Last Update Date | 2015-02-10 |