| NPI | 1043776446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701014460) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00855800) |
| 101YM0800X Counselor, Mental Health (Licence: NY 010693) | |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2025-06-17 |