| NPI | 1578755096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00430300) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MT 1285) |
| 101YM0800X Counselor, Mental Health (Licence: NY 000401-1) | |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2016-03-03 |