| NPI | 1053080515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NJ 37PC00025400) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37PC00025400) |
| 101YM0800X Counselor Mental Health (Licence: NJ 37PC00025400) | |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2021-09-08 |