| NPI | 1770811127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00307700) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00307700) |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2013-11-26 |