| NPI | 1790121812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00347000) |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2024-02-14 |