NPI | 1821815903 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NJ 37PC00670700) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NJ 37PC00670700) |
Enumeration Date | 2024-09-20 |
Last Update Date | 2025-03-18 |