| NPI | 1356661037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NY 003123) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NJ 37PC00314800) |
| 104100000X Social Worker (Licence: NJ 44SW05190800) | |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2010-06-04 |