NPI | 1073917753 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00585400) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00206800) |
Enumeration Date | 2014-10-09 |
Last Update Date | 2022-05-03 |