| NPI | 1629728977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NJ 37AC00639400) |
| Enumeration Date | 2022-03-28 |
| Last Update Date | 2022-05-02 |