| NPI | 1932553922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NJ 37PC00690100) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NJ 37AC00307900) |
| Enumeration Date | 2016-04-16 |
| Last Update Date | 2020-11-16 |