| NPI | 1578943098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00631200) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 101YP2500X) |
| 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00251800) | |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2024-02-13 |