| NPI | 1700441193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00872200) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00455300) |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2022-09-22 |