| NPI | 1801088356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00325500) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: NY 016695-1) |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2007-08-17 |