NPI | 1194099069 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 4395) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 4395) |
Enumeration Date | 2012-02-23 |
Last Update Date | 2019-06-24 |