NPI | 1831768621 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0021473) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37AC00535100) |
101Y00000X Counselor (Licence: CO LPCC.0018263) | |
Enumeration Date | 2021-06-24 |
Last Update Date | 2024-11-14 |