| NPI | 1063985893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00701700) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00309400) |
| 101YM0800X Counselor, Mental Health (Licence: TN 6377) | |
| 101YM0800X Counselor, Mental Health (Licence: FL MH23335) | |
| 101YM0800X Counselor, Mental Health (Licence: GA LPC012729) | |
| 101YM0800X Counselor, Mental Health (Licence: OK 12878) | |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2025-09-11 |