| NPI | 1376289967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 007306) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00652500) |
| Enumeration Date | 2022-05-07 |
| Last Update Date | 2024-12-02 |