| NPI | 1619233210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00519200) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00110000) |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2023-03-13 |