| NPI | 1649915299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NJ 37AC00524900) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37PC00960700) |
| Enumeration Date | 2022-04-28 |
| Last Update Date | 2023-06-12 |