| NPI | 1679635346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 004187) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00807900) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2023-03-17 |