| NPI | 1831799501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 013891) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NJ 37PC01033600) |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2024-12-06 |