| NPI | 1619306016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00519600) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37AC0011230) |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2020-07-06 |