| NPI | 1467105304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 012093) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00931900) |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2023-10-10 |