| NPI | 1992459788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00764900) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37PC00764900) |
| 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00764900) | |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2022-03-07 |