| NPI | 1932804010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 014250) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC01073900) |
| Enumeration Date | 2023-03-30 |
| Last Update Date | 2026-04-20 |