| NPI | 1982136578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00696000) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00696000) |
| 101Y00000X Counselor (Licence: NJ 37AC0030900) | |
| Enumeration Date | 2017-04-01 |
| Last Update Date | 2020-12-30 |