| NPI | 1699922609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NJ 37PC00373600) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NJ 37PC0037600) |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2019-07-08 |