| NPI | 1740072198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00984000) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 18-P119351-02) |
| Enumeration Date | 2025-05-21 |
| Last Update Date | 2026-07-15 |