| NPI | 1477142453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NJ 44SL06651900) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ SW-GTL-20-01312) |
| 101YM0800X Counselor Mental Health (Licence: NJ SW-GTL-20-01312) | |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2022-07-20 |