| NPI | 1508287533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37pc00603000) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P89696) |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2018-08-09 |