| NPI | 1548752611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NJ 37PC00793700) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NJ 37AC00411600) |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2023-06-07 |