| NPI | 1598251076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL TPMC4797) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00410800) |
| Enumeration Date | 2018-07-08 |
| Last Update Date | 2024-09-09 |