| NPI | 1043706492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00754500) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00404300) |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2021-03-19 |