| NPI | 1699186569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00491100) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: FL MH11774) | |
| 101YM0800X Counselor, Mental Health (Licence: NY 007252) | |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2025-01-06 |