| NPI | 1194861161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00103300) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 002141) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2023-06-13 |