| NPI | 1215471784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00749300) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00338600) |
| Enumeration Date | 2016-12-18 |
| Last Update Date | 2022-05-27 |