| NPI | 1831599844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00629100) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00218900) |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2018-04-25 |