| NPI | 1942060553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NJ 37PC01004400) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NJ 37PC01004400) |
| Enumeration Date | 2024-03-20 |
| Last Update Date | 2024-03-20 |