| NPI | 1336863612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 301388) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37AC00646200) |
| 101YP2500X Counselor, Professional (Licence: NJ 37AC00646200) | |
| 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00646200) | |
| Enumeration Date | 2022-09-29 |
| Last Update Date | 2025-09-23 |