| NPI | 1952860553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00816900) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00437900) |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2023-03-14 |