| NPI | 1710311022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 005530-1) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC009554600) |
| Enumeration Date | 2013-08-23 |
| Last Update Date | 2025-04-24 |