NPI | 1790433159 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 012224) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC01015200) |
Enumeration Date | 2022-03-15 |
Last Update Date | 2025-09-19 |