| NPI | 1740070150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00886800) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CT 46.009015-ASOC) |
| Enumeration Date | 2025-05-08 |
| Last Update Date | 2025-10-19 |