NPI | 1134601420 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225C00000X Rehabilitation Counselor (Licence: AL 00112409) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AL C3150A) |
Enumeration Date | 2018-09-04 |
Last Update Date | 2018-09-04 |