| NPI | 1043959190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00688300) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DE PC-0011062) |
| Enumeration Date | 2022-05-27 |
| Last Update Date | 2022-05-27 |