| NPI | 1730692856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00636400) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00252500) |
| Enumeration Date | 2017-11-11 |
| Last Update Date | 2024-03-08 |