| NPI | 1962712588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 003514-1) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: NY 977227) |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2010-10-15 |