| NPI | 1457911638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00838600) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103K00000X Behavior Analyst (Licence: NJ X70jwf) | |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2024-11-05 |