NPI | 1013328798 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 004845) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 007584) |
Enumeration Date | 2014-05-15 |
Last Update Date | 2022-03-21 |