| NPI | 1861291023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 131091) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00856800) |
| Enumeration Date | 2025-03-11 |
| Last Update Date | 2025-03-11 |