NPI | 1033736202 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 7802) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 7112) |
Enumeration Date | 2020-07-02 |
Last Update Date | 2021-09-09 |