| NPI | 1992158596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 008723) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00817400) |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2024-09-18 |