| NPI | 1962910935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NY 001830-1) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor Professional | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2018-03-17 |