| NPI | 1255094447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00729300) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NJ 37PC00729300) |
| Enumeration Date | 2021-10-15 |
| Last Update Date | 2021-10-25 |