| NPI | 1144608357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 006130-1) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00512200) |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2020-07-03 |