| NPI | 1326404153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00533600) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH12362) |
| Enumeration Date | 2016-01-08 |
| Last Update Date | 2016-01-08 |