| NPI | 1255099313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00567200) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: NJ 37AC00567200) |
| 101Y00000X Counselor (Licence: NJ 37AC00567200) | |
| Enumeration Date | 2021-12-06 |
| Last Update Date | 2021-12-06 |