| NPI | 1528407921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00041900) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC0041900) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2013-06-19 |