| NPI | 1962037945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00781700) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00455000) |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2021-08-16 |