NPI | 1073810602 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1780) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 4020) |
101YP2500X Counselor, Professional (Licence: NE 1984) | |
Enumeration Date | 2011-02-17 |
Last Update Date | 2021-02-12 |