NPI | 1023432374 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701006815) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA 06444) |
Enumeration Date | 2014-02-06 |
Last Update Date | 2016-10-19 |