| NPI | 1598954885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 26NP05723000) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NJ 26NP05723000) |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2016-02-16 |