| NPI | 1407497423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NJ 37PC00717600) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NJ 37AC00200900) |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2020-05-08 |