| NPI | 1770105876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00875700) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 012160) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2022-09-15 |