NPI | 1467169847 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00922200) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY MH21314) |
101YM0800X Counselor, Mental Health (Licence: FL MH21314) | |
Enumeration Date | 2022-11-03 |
Last Update Date | 2024-04-19 |