| NPI | 1720734635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00836800) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NJ RBT-22-203233) |
| Enumeration Date | 2022-03-01 |
| Last Update Date | 2024-11-07 |