| NPI | 1922583137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00718400) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 37AC00419600) |
| 101YM0800X Counselor, Mental Health (Licence: NY 009455-1) | |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2021-06-09 |