NPI | 1588166706 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2517) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00530600) |
Enumeration Date | 2018-03-03 |
Last Update Date | 2025-09-29 |