| NPI | 1437791142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YS0200X Counselor School (Licence: NJ 1095237) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NJ 37AC00449900) |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2019-10-14 |