| NPI | 1730990532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC01115700) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37AC00604000) |
| 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00604000) | |
| Enumeration Date | 2025-01-20 |
| Last Update Date | 2025-02-21 |