NPI | 1073945747 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00463800) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 005069-1) |
Enumeration Date | 2013-08-05 |
Last Update Date | 2013-08-05 |