| NPI | 1891191557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 003337) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00495500) |
| Enumeration Date | 2014-11-07 |
| Last Update Date | 2018-04-12 |