| NPI | 1295434751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 8297) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00647800) |
| Enumeration Date | 2023-02-23 |
| Last Update Date | 2025-07-31 |