| NPI | 1710371349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH21645) |
| 101YP2500X Counselor, Professional (Licence: NJ 37PC01018800) | |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2024-05-08 |