| NPI | 1972641439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00012200) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37PC00012200) |
| Enumeration Date | 2007-02-04 |
| Last Update Date | 2025-09-11 |