| NPI | 1750742763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NY 011291-01) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NJ 37PC00683400) |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2022-02-23 |