| NPI | 1811502115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: DE Q1-0001719) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 44SC05855500) |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2021-03-02 |