| NPI | 1942804505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00739200) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37PC00739200) |
| 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00739200) | |
| Enumeration Date | 2020-11-24 |
| Last Update Date | 2023-12-07 |