NPI | 1952845893 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ME CC4861) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00229800) |
Enumeration Date | 2016-12-12 |
Last Update Date | 2018-05-10 |