| NPI | 1124750641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 014292) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC01192700) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2022-06-24 |
| Last Update Date | 2025-10-08 |