| NPI | 1407470610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 012996) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC01009800) |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2025-07-31 |