| NPI | 1316383235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NJ 37PC00657000) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 1342) |
| 101YM0800X Counselor Mental Health (Licence: CA 4084) | |
| Enumeration Date | 2013-05-18 |
| Last Update Date | 2021-07-27 |