NPI | 1013187111 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701007011) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 6913) |
Enumeration Date | 2008-03-04 |
Last Update Date | 2022-07-21 |