| NPI | 1134904477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY P120590) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00722100) |
| Enumeration Date | 2023-08-25 |
| Last Update Date | 2023-10-07 |