NPI | 1154195873 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC01042000) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 17300) |
101YP2500X Counselor, Professional (Licence: FL 275244) | |
101YS0200X Counselor, School (Licence: FL 1363311) | |
101YS0200X Counselor, School (Licence: NJ 1037669) | |
Enumeration Date | 2023-11-13 |
Last Update Date | 2024-08-03 |