| NPI | 1861099848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 37PC00767300) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37Pc00767300) |
| Enumeration Date | 2020-10-03 |
| Last Update Date | 2025-03-12 |