| NPI | 1811438336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NY 009968) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37AC00356100) |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2019-10-29 |