NPI | 1841617693 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 05581-1) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00487100) |
Enumeration Date | 2014-03-18 |
Last Update Date | 2014-09-17 |