| NPI | 1437614096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NJ 37ACOO356600) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NJ 37AC00356600) |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2019-02-07 |