| NPI | 1851895478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00727000) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00397900) |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2020-09-11 |