| NPI | 1609945054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00286500) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00509200) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-08-04 |