| NPI | 1376903278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00614100) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00252800) |
| 101YP2500X Counselor, Professional (Licence: NJ 37AC00252800) | |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2019-03-31 |