| NPI | 1881283935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00800500) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NJ RBT-20-149571) |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2025-01-31 |