| NPI | 1699399055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NJ 37PC00579300) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CT 004766) |
| 101YM0800X Counselor Mental Health (Licence: MA LMHC12458) | |
| 101YM0800X Counselor Mental Health (Licence: NY 012299) | |
| 101YM0800X Counselor Mental Health (Licence: CA LPCC9794) | |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2024-05-10 |