NPI | 1104383827 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH20337) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 008959) |
Enumeration Date | 2019-02-28 |
Last Update Date | 2023-10-25 |