| NPI | 1245612779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00562000) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 006573) |
| Enumeration Date | 2015-06-21 |
| Last Update Date | 2018-04-01 |