| NPI | 1689153397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NJ 37PC00702800) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NJ 37AC00296200) |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2021-05-05 |