NPI | 1962999870 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00774300) |
101YM0800X Counselor, Mental Health (Licence: NY 008609) | |
Enumeration Date | 2018-04-16 |
Last Update Date | 2024-10-21 |