NPI | 1528549771 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 9771) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC10549) |
101YM0800X Counselor, Mental Health (Licence: PA PC013037) | |
101YM0800X Counselor, Mental Health (Licence: FL TPMC407) | |
Enumeration Date | 2018-08-26 |
Last Update Date | 2023-08-04 |