| NPI | 1275318057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00470800) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC13146) |
| Enumeration Date | 2023-08-29 |
| Last Update Date | 2023-08-29 |