NPI | 1104486117 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: NC 11379) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 11379) |
Enumeration Date | 2019-06-20 |
Last Update Date | 2019-06-20 |