NPI | 1174995112 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD 30716) |
Additional Taxonomies | 101Y00000X Counselor (Licence: SD 7279) |
101YM0800X Counselor, Mental Health (Licence: SD 7279) | |
Enumeration Date | 2015-10-29 |
Last Update Date | 2024-10-09 |