| NPI | 1740016922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NJ 37AC00823700) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NJ 37AC00823700) |
| Enumeration Date | 2024-09-12 |
| Last Update Date | 2024-09-12 |