| NPI | 1902227457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00565400) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC007141) |
| 101YM0800X Counselor, Mental Health (Licence: GA LPC006511) | |
| Enumeration Date | 2013-12-31 |
| Last Update Date | 2021-06-23 |