NPI | 1194253294 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 7073) |
101YP2500X Counselor, Professional (Licence: LA 7073) | |
Enumeration Date | 2017-06-01 |
Last Update Date | 2022-10-31 |