NPI | 1053576306 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC1467) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC1467) |
101YM0800X Counselor, Mental Health (Licence: DC PRC13726) | |
Enumeration Date | 2008-07-25 |
Last Update Date | 2021-01-08 |