NPI | 1104446665 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH20110) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH18232) |
Enumeration Date | 2020-04-24 |
Last Update Date | 2022-01-05 |