| NPI | 1912563255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37P00966600) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00465100) |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2025-03-17 |