| NPI | 1295754703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CO 2030) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NJ 02892) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2012-02-10 |