| NPI | 1831462936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NJ 37PC00556300) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37AC00195200) |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2021-08-02 |