| NPI | 1215270228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 014105) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ 696406) |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2024-01-16 |