| NPI | 1326597303 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00583000) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH26310) | 
| 101YM0800X Counselor, Mental Health (Licence: NY 007506) | |
| Enumeration Date | 2016-10-01 | 
| Last Update Date | 2025-08-28 |