NPI | 1023385655 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AL 1384) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: AL 1384) |
Enumeration Date | 2011-11-28 |
Last Update Date | 2022-08-03 |