NPI | 1003315797 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP6739) |
Enumeration Date | 2018-02-07 |
Last Update Date | 2019-07-05 |