| NPI | 1932746476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00934500) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00499100) |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2023-05-01 |