| NPI | 1801180294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NJ 26NP06098700) |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2021-09-01 |