| NPI | 1295223519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 21015) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00384200) |
| 101YM0800X Counselor, Mental Health (Licence: SC 11163) | |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2026-06-15 |