| NPI | 1053083212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00943700) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00524800) |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2023-04-14 |