| NPI | 1023451028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 005458) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05711300) |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2023-03-17 |