| NPI | 1316305378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO LPC.0013990) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NJ 37PC00536200) |
| 101YM0800X Counselor Mental Health (Licence: CO 0013990) | |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2023-04-11 |