| NPI | 1679199558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00923700) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00501500) |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2023-03-01 |