| NPI | 1225361157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00408800) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC007250) |
| 1041S0200X Social Worker, School (Licence: NJ 506814) | |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2023-12-13 |