| NPI | 1508461344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NJ 37AC00509600) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: 37PC01030900) |
| 101YP2500X Counselor Professional (Licence: NJ 37PC01030900) | |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2024-05-30 |