NPI | 1265564785 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00079600) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00079600) |
Enumeration Date | 2007-03-10 |
Last Update Date | 2023-12-06 |