| NPI | 1316210628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 008986) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0016035) |
| 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00435600) | |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2024-07-09 |