| NPI | 1144308362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC 00469600) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 20232) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2015-03-12 |