| NPI | 1508464462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00486500) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37AC00486500) |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2022-07-20 |