| NPI | 1457836546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37pc00675600) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00243000) |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2021-05-04 |