| NPI | 1215612254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CT 6491) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC01239600) |
| Enumeration Date | 2023-06-19 |
| Last Update Date | 2026-03-26 |