NPI | 1053709238 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DE PC-0000696) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 005582) |
Enumeration Date | 2014-12-22 |
Last Update Date | 2024-02-13 |