NPI | 1205169000 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0155861) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM 0155861) |
Enumeration Date | 2009-09-10 |
Last Update Date | 2020-01-03 |