| NPI | 1053867259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 009290) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00879900) |
| 101YP2500X Counselor, Professional (Licence: CT 46.006636) | |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2025-07-15 |