| NPI | 1710463252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WV 2761) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00809200) |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2023-02-13 |