| NPI | 1063595106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 000951-1) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00289600) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2012-07-09 |