| NPI | 1255028015 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 013073-01)  | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00940200)  | 
| Enumeration Date | 2023-04-21 | 
| Last Update Date | 2023-04-21 |