| NPI | 1306594734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37pc00927300) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH18744) |
| Enumeration Date | 2022-03-15 |
| Last Update Date | 2023-03-29 |