| NPI | 1659701282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 44SC05648200) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 44SL05759900) |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2015-12-23 |