| NPI | 1710572144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NJ 37PC00991100) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: 37AC00557700) |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2024-06-25 |