| NPI | 1356984371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 009570) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00697400) |
| 101YP2500X Counselor, Professional (Licence: TX 84234) | |
| 101YP2500X Counselor, Professional (Licence: PA PC011611) | |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2020-11-05 |