| NPI | 1447933007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID 2571399) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00763000) |
| Enumeration Date | 2023-08-10 |
| Last Update Date | 2026-03-13 |