| NPI | 1669101747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NJ 37PC00863700) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00482200) |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2023-05-12 |