| NPI | 1669829388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 007196) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37PC00609100) |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2018-06-13 |