NPI | 1134534431 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 006915-1) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ NJDCATEMP-015186) |
101YP2500X Counselor, Professional (Licence: CT 003776) | |
Enumeration Date | 2014-06-25 |
Last Update Date | 2020-05-19 |