| NPI | 1932746971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH20008) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 009056) |
| 101YP2500X Counselor, Professional (Licence: NJ 37PC00825700) | |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2024-03-25 |