NPI | 1154852176 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AL 3877) |
Additional Taxonomies | 101Y00000X Counselor (Licence: AL 3877) |
101YP2500X Counselor, Professional (Licence: AL 3877) | |
Enumeration Date | 2017-03-22 |
Last Update Date | 2020-04-16 |