NPI | 1245848316 |
---|---|
Former Name | ANDREA K GREENFIELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 011476) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00652400) |
Enumeration Date | 2020-07-15 |
Last Update Date | 2022-08-25 |