NPI | 1982342473 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC01067000) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC01067000) |
Enumeration Date | 2022-05-24 |
Last Update Date | 2025-06-13 |