NPI | 1205201175 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ME CC5790) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ME XL4576) |
Enumeration Date | 2015-12-03 |
Last Update Date | 2024-04-25 |