| NPI | 1083004964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37pc00058900) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00058900) |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2024-02-14 |