NPI | 1255865804 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37pc00818200) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH 15293) |
101YM0800X Counselor, Mental Health (Licence: VA 0701010867) | |
101YM0800X Counselor, Mental Health (Licence: CO lpc.0015659) | |
101YM0800X Counselor, Mental Health (Licence: MD LC12663) | |
Enumeration Date | 2017-04-19 |
Last Update Date | 2023-06-01 |