NPI | 1366780421 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC013231) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00490200) |
101YM0800X Counselor, Mental Health (Licence: NJ 37AC00033400) | |
Enumeration Date | 2013-01-24 |
Last Update Date | 2024-03-13 |