| NPI | 1417079716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NJ 37RC00000200) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 001141-1) |
| 101YP2500X Counselor, Professional (Licence: NJ 37PC00006000) | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2007-07-08 |