| NPI | 1952845893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ME CC4861) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00229800) |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2018-05-10 |