NPI | 1033484878 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH12231) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH 9657) |
Enumeration Date | 2012-03-13 |
Last Update Date | 2021-05-10 |