| NPI | 1619229093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00554300) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 007194-1) |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2023-05-13 |