| NPI | 1063825909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 44SL05942900) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA SW129225) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2014-06-09 |