| NPI | 1669625554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00593300) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 6695) |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2022-06-08 |