| NPI | 1912640830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 014212) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC01221100) |
| Enumeration Date | 2022-04-18 |
| Last Update Date | 2026-01-26 |