| NPI | 1659126670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 014661) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC01082100) |
| Enumeration Date | 2024-04-22 |
| Last Update Date | 2025-04-17 |