| NPI | 1487232195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00945400) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00466600) |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2023-05-15 |