| NPI | 1275193831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH19560) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NJ 37PC00589200) |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2021-09-15 |