| NPI | 1811403520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 11631) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00801400) |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2025-02-21 |