| NPI | 1639836083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 011898) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NJ 37PC01171500) |
| Enumeration Date | 2021-11-19 |
| Last Update Date | 2025-08-20 |