| NPI | 1255782967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00714700) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NJ 37AC00222100) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2022-04-05 |