| NPI | 1184089286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH17093) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00268600) |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2019-12-16 |