| NPI | 1578056545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00845600) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00501000) |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2022-05-07 |