NPI | 1144683574 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: NJ 35SI00692600) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NJ 37PC00547200) |
Enumeration Date | 2016-04-02 |
Last Update Date | 2023-01-01 |