NPI | 1972641439 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: NJ 37PC00012200) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NJ 37PC00012200) |
Enumeration Date | 2007-02-04 |
Last Update Date | 2007-07-08 |