NPI | 1427577337 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 6490-125) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH25302) |
101YM0800X Counselor, Mental Health (Licence: NY 015255) | |
101YP2500X Counselor, Professional (Licence: NJ 37pc01012400) | |
Enumeration Date | 2017-09-12 |
Last Update Date | 2025-04-02 |