NPI | 1053634550 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC5095) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 5327) |
101YM0800X Counselor, Mental Health (Licence: MD LC5095) | |
Enumeration Date | 2010-03-11 |
Last Update Date | 2022-11-02 |