| NPI | 1952844102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00684600) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00342000) |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2023-05-11 |