| NPI | 1679989909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00560700) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00214200) |
| 101YM0800X Counselor, Mental Health (Licence: MA 11856) | |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2025-01-30 |