| NPI | 1609446152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00859700) |
| 101YM0800X Counselor, Mental Health (Licence: NY 012136) | |
| 101YP2500X Counselor, Professional (Licence: NJ 37PC00859700) | |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2024-01-18 |