| NPI | 1720694797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00813300) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00414000) |
| 101YP2500X Counselor, Professional (Licence: NJ 37PC00813300) | |
| 106H00000X Marriage & Family Therapist (Licence: NJ 37PC00813300) | |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2022-02-28 |