NPI | 1154643724 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 8892) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 8892) |
Enumeration Date | 2010-02-23 |
Last Update Date | 2019-07-30 |