| NPI | 1225462971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37AC00167000) |
| 101Y00000X Counselor (Licence: NJ 37PC00513000) | |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2023-09-21 |