NPI | 1427513555 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00920300) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37AC00451600) |
Enumeration Date | 2019-02-03 |
Last Update Date | 2024-01-25 |