| NPI | 1568648863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 44SC01309100) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 029206-1) |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2008-01-18 |