| NPI | 1235643727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH13529) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00534700) |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2017-11-21 |