| NPI | 1699089961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00791800) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 005334) |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2024-11-11 |