| NPI | 1871229815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NJ 00119700) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NJ 37PC00483000) |
| Enumeration Date | 2022-07-30 |
| Last Update Date | 2024-05-14 |