NPI | 1013279710 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 5404) |
Additional Taxonomies | 101Y00000X Counselor (Licence: OK 5404) |
101Y00000X Counselor | |
Enumeration Date | 2012-06-09 |
Last Update Date | 2020-12-14 |