| NPI | 1356165245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NJ 37AC00826700) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NJ 1734515) |
| Enumeration Date | 2024-11-08 |
| Last Update Date | 2024-11-08 |