| NPI | 1013224625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00908200) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH10176) |
| 101YM0800X Counselor, Mental Health (Licence: GA LPC015694) | |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2025-09-29 |