| NPI | 1588361729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY P126661) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00770300) |
| Enumeration Date | 2023-02-08 |
| Last Update Date | 2025-08-28 |