| NPI | 1063008746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00153500) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2020-12-16 |
| Last Update Date | 2024-12-04 |