NPI | 1356805014 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0014323) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC01031500) |
Enumeration Date | 2019-01-28 |
Last Update Date | 2024-04-30 |