| NPI | 1609351097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00528700) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2020-05-27 |