| NPI | 1801206453 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00189000) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00588500) | 
| Enumeration Date | 2014-05-05 | 
| Last Update Date | 2025-07-22 |