| NPI | 1114322179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00497600) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00497600) |
| Enumeration Date | 2014-11-01 |
| Last Update Date | 2018-09-28 |