| NPI | 1275101131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 011396) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37PC00870800) |
| 101Y00000X Counselor (Licence: NY 011396) | |
| 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00870800) | |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2022-10-28 |