| NPI | 1770129348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00909800) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00501800) |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2022-12-15 |