| NPI | 1881107506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 002998-01) |
| 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00588200) | |
| 101YM0800X Counselor, Mental Health (Licence: NY 0008683) | |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2024-02-25 |