| NPI | 1962999870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 008609) |
| 101YP2500X Counselor, Professional (Licence: NJ 37PC00774300) | |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2021-07-20 |