| NPI | 1659781011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NJ 37PC00511700) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37AC00099600) |
| 101YM0800X Counselor Mental Health (Licence: NJ 37AC00099600) | |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2015-01-05 |