| NPI | 1295991990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 001758) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00359600) |
| 101YP2500X Counselor, Professional (Licence: TX 16071) | |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2008-08-01 |