| NPI | 1104313345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 13865) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ NJDCATEMP-011337) |
| 101YM0800X Counselor, Mental Health (Licence: VA 0701009498) | |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2020-06-26 |