| NPI | 1003110404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 15448) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37AC00075300) |
| Enumeration Date | 2010-12-29 |
| Last Update Date | 2024-04-01 |