| NPI | 1649910993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC01183500) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00619500) |
| Enumeration Date | 2022-04-01 |
| Last Update Date | 2025-11-14 |