| NPI | 1982971453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 005351-1) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY P79744) |
| 101YP2500X Counselor, Professional (Licence: CT 002232) | |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2012-12-27 |