| NPI | 1518108463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00388700) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 003184) |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2010-07-26 |