| NPI | 1992839898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 007999-1) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 6491) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2018-12-19 |