NPI | 1891391173 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37AC00581100) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ AC-GTL-20-01822) |
Enumeration Date | 2020-12-10 |
Last Update Date | 2022-11-06 |