| NPI | 1124768403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A16779) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00485800) |
| Enumeration Date | 2022-04-01 |
| Last Update Date | 2022-04-01 |