NPI | 1144785692 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
335E00000X Prosthetic/Orthotic Supplier | |
Enumeration Date | 2019-02-08 |
Last Update Date | 2020-03-02 |