| NPI | 1528416039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NJ 37PC00740800) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IA 123288) |
| 101YP2500X Counselor Professional (Licence: AL LPC05245) | |
| 101YM0800X Counselor Mental Health (Licence: DE PC-0011498) | |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2024-10-10 |