NPI | 1124468939 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LGP4664) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00822600) |
101YP2500X Counselor, Professional (Licence: MD LC5861) | |
101YP2500X Counselor, Professional (Licence: NJ 37PC00822600) | |
Enumeration Date | 2013-06-26 |
Last Update Date | 2022-03-03 |