| NPI | 1841762606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00699900) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00321600) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2021-09-13 |