| NPI | 1215359633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NJ 37PC00552600) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37ac00105200) |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2024-11-14 |