| NPI | 1154052025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LGP14566) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37AC00638800) |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2025-04-24 |