| NPI | 1386063584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00554200) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00173200) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2025-11-20 |