| NPI | 1649654039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 011894-01) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00833000) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2025-02-05 |