| NPI | 1912115601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 000353) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ PC 1438) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2023-02-22 |