| NPI | 1598142903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NJ 37pc00508500) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37pc00508500) |
| 101YP2500X Counselor, Professional (Licence: NJ 37pc00508500) | |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2020-12-10 |