NPI | 1205992039 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37RC002441000) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00239500) |
Enumeration Date | 2006-12-28 |
Last Update Date | 2025-09-11 |