| NPI | 1255106993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00750000) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37AC00750000) |
| Enumeration Date | 2023-11-22 |
| Last Update Date | 2023-11-28 |