NPI | 1306137245 |
---|---|
Former Name | LINDA ANN MANDEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 001928-01) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 374500367800) |
103TS0200X Psychologist, School (Licence: NJ 561640) | |
Enumeration Date | 2011-04-26 |
Last Update Date | 2023-06-15 |