| NPI | 1710373972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH14748) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00717800) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2024-02-16 |