| NPI | 1184208050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC01067400) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ME CC8586) |
| Enumeration Date | 2021-05-07 |
| Last Update Date | 2026-03-02 |