| NPI | 1407295645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00616100) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH 11854) |
| 101YP2500X Counselor, Professional (Licence: WI 5440-125) | |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2018-05-29 |