| NPI | 1568540987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00083800) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37FI001496300) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2008-03-31 |