| NPI | 1629716188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00847900) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL TPMC2090) |
| 101YM0800X Counselor, Mental Health (Licence: CA 11199) | |
| Enumeration Date | 2022-05-24 |
| Last Update Date | 2022-06-22 |