| NPI | 1851858153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 8832) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00448400) |
| 101YP2500X Counselor, Professional (Licence: NJ 37PC00852400) | |
| Enumeration Date | 2019-02-23 |
| Last Update Date | 2023-05-24 |