| NPI | 1770331712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00875100) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NJ 18KT01467700) |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2025-09-16 |