| NPI | 1538453824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37AC00106000) |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2012-02-02 |