| NPI | 1568904647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 4241) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CT 5632) |
| 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00566400) | |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2023-09-21 |