| NPI | 1962798637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC000613900) |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2018-01-22 |