| NPI | 1992234298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: VA 0701009284) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00366100) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2020-09-24 |