| NPI | 1588931083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37pc00521000) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: DE pc0000706) | |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2025-03-25 |