| NPI | 1659595601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ LPC 37PC00373500) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY LMHC 004670) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2014-03-09 |