| NPI | 1982858791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 004982-1) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178005036) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2012-12-07 |