| NPI | 1881843886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00458400) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E0007900) |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2012-09-12 |