NPI | 1003110404 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 15448) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37AC00075300) |
Enumeration Date | 2010-12-29 |
Last Update Date | 2024-04-01 |