| NPI | 1982376331 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DE AC-0010471)  | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00613800)  | 
| Enumeration Date | 2021-10-04 | 
| Last Update Date | 2025-02-03 |