| NPI | 1093358400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 011822) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00889100) |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2024-08-26 |