| NPI | 1467235606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NJ 37AC00739500) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CT 6622) |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2023-08-14 |