| NPI | 1770681934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00104700) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37LC00032300) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |