| NPI | 1023116209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 6931) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 000372) |
| 101YP2500X Counselor, Professional (Licence: NJ 37PC00297000) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2010-04-02 |