| NPI | 1104569938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 004444-01) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC000094400) |
| Enumeration Date | 2022-04-19 |
| Last Update Date | 2022-04-19 |