| NPI | 1821815903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NJ 37PC00670700) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2024-09-20 |
| Last Update Date | 2024-10-09 |