| NPI | 1285363762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC01211900) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180.017143) |
| Enumeration Date | 2022-06-09 |
| Last Update Date | 2026-06-01 |