| NPI | 1316556749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 2020024373) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00926600) |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2025-08-03 |