| NPI | 1124468939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LGP4664) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00822600) |
| 101YP2500X Counselor, Professional (Licence: MD LC5861) | |
| 101YP2500X Counselor, Professional (Licence: NJ 37PC00822600) | |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2022-03-03 |