NPI | 1366941874 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37AC00340400) |
101YM0800X Counselor, Mental Health (Licence: FL MH21762) | |
103TC1900X Psychologist, Counseling (Licence: NJ 37AC00340400) | |
Enumeration Date | 2018-02-10 |
Last Update Date | 2024-04-18 |