| NPI | 1306070412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00394000) |
| 101YM0800X Counselor, Mental Health (Licence: NY 002598) | |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2016-12-14 |