| NPI | 1760847982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00626300) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37AC00255000) |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2021-03-01 |