| NPI | 1699306621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 011747) |
| 101YP2500X Counselor, Professional (Licence: NJ 37PC00882100) | |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2023-12-06 |