| NPI | 1962870485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC007793000) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ME CC7256) |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2024-02-12 |