NPI | 1598080509 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 16LP00020700) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 001307-1) |
Enumeration Date | 2010-04-01 |
Last Update Date | 2023-01-22 |