| NPI | 1730725557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 44SC05915300) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 0088938) |
| 101YM0800X Counselor, Mental Health (Licence: FL TPSW1953) | |
| 103TC0700X Psychologist, Clinical (Licence: NY 088938) | |
| Enumeration Date | 2019-11-27 |
| Last Update Date | 2022-08-18 |