| NPI | 1144452749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY R063025) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 44SC05455900) |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2015-10-16 |