NPI | 1396083010 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LPCC7462) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37AC00124400) |
Enumeration Date | 2013-01-31 |
Last Update Date | 2020-02-07 |