| NPI | 1376190470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00895500) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P14647) |
| 101YM0800X Counselor, Mental Health (Licence: NY 011096) | |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2024-12-12 |