NPI | 1326597303 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00583000) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH26310) |
101YM0800X Counselor, Mental Health (Licence: NY 007506) | |
Enumeration Date | 2016-10-01 |
Last Update Date | 2025-08-28 |