| NPI | 1770945511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NJ 37PC00669100) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NJ 37AC00302000) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2020-07-28 |