| NPI | 1922507458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00747100) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00377500) |
| 101YS0200X Counselor, School (Licence: NJ 1031795) | |
| Enumeration Date | 2018-02-11 |
| Last Update Date | 2021-04-15 |