| NPI | 1518635481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00901500) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37PC00901500) |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2023-01-31 |