| NPI | 1912459041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC000750400) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2024-08-10 |