| NPI | 1326597303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 007506) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00583000) |
| Enumeration Date | 2016-10-01 |
| Last Update Date | 2021-06-29 |