NPI | 1104965649 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC5836) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ 10772) |
101YM0800X Counselor, Mental Health (Licence: NC 4998) | |
Enumeration Date | 2007-02-05 |
Last Update Date | 2020-07-16 |