| NPI | 1730784182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00828700) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00430000) |
| 101YS0200X Counselor, School (Licence: NJ 1060169) | |
| Enumeration Date | 2020-12-03 |
| Last Update Date | 2022-03-14 |