NPI | 1225361157 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00408800) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC007250) |
1041S0200X Social Worker, School (Licence: NJ 506814) | |
Enumeration Date | 2009-09-10 |
Last Update Date | 2023-12-13 |