| NPI | 1306381603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00773900) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00320200) |
| Enumeration Date | 2016-12-23 |
| Last Update Date | 2022-04-04 |