| NPI | 1568128031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC01077400) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 9482) |
| Enumeration Date | 2021-11-09 |
| Last Update Date | 2024-11-13 |