| NPI | 1073170080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00853300) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00401900) |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2022-11-10 |