| NPI | 1497390900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00762600) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00435400) |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2023-06-09 |