| NPI | 1669635009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NJ 37PC00881500) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: NJ PERMIT TP#083-911) |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2023-05-20 |