| NPI | 1518381714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00624000) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH61382669) |
| 101YM0800X Counselor, Mental Health (Licence: NJ 37pc000624000) | |
| Enumeration Date | 2014-02-07 |
| Last Update Date | 2024-11-22 |