NPI | 1124656384 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: MD LGP10322) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP10322) |
Enumeration Date | 2020-03-31 |
Last Update Date | 2020-03-31 |