NPI | 1407295645 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00616100) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH 11854) |
101YP2500X Counselor, Professional (Licence: WI 5440-125) | |
Enumeration Date | 2013-06-20 |
Last Update Date | 2018-05-29 |