| NPI | 1992181804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 005766) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 11615) |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2015-08-03 |