NPI | 1215536834 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MD LC9850) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: VA 0701012404) |
101YM0800X Counselor Mental Health (Licence: DC PRC200001498) | |
Enumeration Date | 2020-10-23 |
Last Update Date | 2024-08-28 |