| NPI | 1780421420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 014769-01) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 21810) |
| 101YP2500X Counselor, Professional (Licence: NJ 37PC01109200) | |
| Enumeration Date | 2024-07-10 |
| Last Update Date | 2025-10-24 |