| NPI | 1164016416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH21400) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00741900) |
| Enumeration Date | 2021-02-26 |
| Last Update Date | 2022-12-16 |