| NPI | 1922327915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT 1415) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 0017525-1) |
| 101YP2500X Counselor, Professional (Licence: NC 6566) | |
| Enumeration Date | 2010-05-31 |
| Last Update Date | 2010-05-31 |