NPI | 1245048545 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC01037400) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC01037400) |
101Y00000X Counselor (Licence: NJ 37PC01037400) | |
Enumeration Date | 2024-12-19 |
Last Update Date | 2024-12-31 |