| NPI | 1144708959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37FI00226600) |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2024-05-16 |