| NPI | 1215560180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NJ 37PC00900200) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NJ 37AC00511200) |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2023-01-15 |