| NPI | 1295159333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00571000) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 002654-1) |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2017-01-02 |