NPI | 1598239394 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00900300) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00447300) |
Enumeration Date | 2019-01-15 |
Last Update Date | 2023-03-14 |