| NPI | 1629723507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 015041) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC01140000) |
| Enumeration Date | 2022-02-18 |
| Last Update Date | 2025-05-06 |